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Collection: Original Records > Death Records
Mortuary Records 1914 to 1919 - Book 13 & 14 (310 pages)

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Page: of 310

RECORD OF
*
Sue
Aisa, Sarid
Seer eeRe ete ee ee ee
Ss iepiaots oa,cy Charge. to
F FUNERAL,
(What Rai
Address .°.4~ 002285
AE vice viihng ASE
(Where Born) P
rr
we eee
{ 4
.
A
intoonenty):
Oceupation of the Deceased ic TEL PON ob eeeeas Ob ee oleinied Bhs :
i sitigle. or: pharried
Yate of Birth A,
ee ne.
ee ed fueligioacs; pheid odsioa eee
US Wearase.. soe ee: Months,. ch Z Data
‘Name of Father. . Me ee
_ His Birthplace’ Weeeat Posi ice rstecs Vinge
Name Of Mother s./. cee eyees eet eece sae UES Satis ~ he ‘.
‘Her Birthplace .
> Mother’ 8 Maiden Nae
wee
eee eee eeere ( Manutacrared oy Fd ED Sd Sealha saw raise’ eee
t ie
‘ Interment at:.. Quem. Cilttir:..
©) Lot or Grave No...-.-.+++:
eeweee
.Section No....
". Engraving Plate.. .i.%
Embalming meget (with. »
-. Shaving ©.
. Automobiles to Cemetery..
. . Watchers .... be deh te ee Bi
Brice of Casket or Cbflin cya ssansnetcaireanees®
i cae
——&.
8 Outside Box .-.++Aerie < ary . pene ned
ae: Grave. Vault, gett teene es: oikipa
: (Btate kind): :
Burial Robe sie ccc eset bee e see knee ees lor
anere Me
Burial Slippers and Hose.. Ae
WE EPAT TARE Saag else seale weocees
Keeping Body on Tet.is ec neeseeetise cess ee reeee
Disinifecting.Rooms:.:.
Use. of Catafalque and ‘Drsbeiy ts Are eas
33 _ Folding Chairs ..... eet
Tal ta adding
’ Candelabrum and: Candles: + :.
sicbsdeccsedcce Crape $.. 05sec 0 eee
Door Crape $......+ Canopy $. wt eeeess
Hearse ....006 ee re eee
Carriages to Cemetery: ote eke 7 t 28
oooe
Wagon Deliveries ..
City Calls (Coaches).. 2.. ..s sees ee eeeesenees
Death Notices in, ..... Newspapers. s.-+-.-+epee bee access cee oe weeeeee seed wen
(Nemes. of 'Rewapapers)
Flowers .5..52 ss ecdeees
. Outlay for Lot..
. Oper Cranwror Neti cinix eat fiss Ese) A
seers wen een ees ee cantoseerens
oat
eee eee et eR mee es ewre rere es ® Lune
ee ee ee oe . e
foros
seecemenee
seceeeeeeeee
seeeeeneenes
wcovenmrece {
sesesenccee
od
sroceeeeenee
+ . -anecemmen ee
seeceeeecen
+, -ereeesees:
Lining Grave J. .ccce pe cscee cee e eet et ce ee cee nees
Vault Rental ....--20e
Shipping Charges, renal. UL PEELE Se Swe sE ns eins
Removal Charges PC ee eee Soe
Cremation Charges Bad yeh ee fe as «
Porters ..i.6.SoS b se S FEE Se cen s BESS A See cee
ee
ower
eee
eee
Music ....ict egct tsiaditiowsoess
2g aod“Diagram of Lot or Vault.
Designate ‘all Graves in Lot.with Numbers (1, 2, 3, 4, etc.), and
oe mark pernkee s for this pers with a cross (+).
a eae tace for Monument with a small square
Tieetpel space ate the right of Diagram for the names of
Church Charges ....20ceteeseeest eee eweeees
ee ee see mewesens oeeee
ee eee. eee eee eee ee)
eee ee peer ew arerresseweseereeens
Total Footing of Bill:..icscsi:. yank
By Amount Paid in Advance.. bs ab sh gata bede'te .
ee ee .
Balances 3i2¢sicck ie edkiiossangace ll
seneseewees eoee
oe oes
in i Entered into Ledger, page. ...-...or below. . . -.:.. .. .
5
1
ae 7 A
$$
:
Soff 26. [to Funeral Charges..-.-Total§ . ___l82. S67" . Lk.. By Cash. .nseossessersseees ols cg
i : hae Gi 3 ait scaisaennbbins \otemagbast wementeneines Phasin slasseoaigs [wieibsieene LN abs. ceeeds abegitigin
5b seatinons sande . dcabarmubevaanne. . Saphcekdsn talons wisiendeahe ez pred Beets